| LCA CASE NUMBER | I-200-22125-140974 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2022-05-05 |
| DECISION DATE | 2022-05-23 |
| ORIGINAL CERT DATE | 2022-05-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Laboratory Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-26 |
| END DATE | 2025-09-25 |
| TOTAL WORKER POSITIONS | 10 |
| NEW EMPLOYMENT | 10 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Genesis Health System |
| EMPLOYER ADDRESS1 | 1227 E. Rusholme Street |
| EMPLOYER CITY | Davenport |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 52803 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15634211000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | STOLMEIER |
| EMPLOYER POC FIRST NAME | Renee |
| EMPLOYER POC JOB TITLE | Director, HR Operations and Services |
| EMPLOYER POC ADDRESS1 | 1227 E. Rusholme Street |
| EMPLOYER POC CITY | Davenport |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 52803 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15634211000 |
| EMPLOYER POC EMAIL | stolmeierr@genesishealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rogers |
| AGENT ATTORNEY FIRST NAME | Caela |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 9101 Kings Parade Boulevard |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | Charlotte |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 28273 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17044969467 |
| AGENT ATTORNEY EMAIL ADDRESS | crogers@healthstaff.org |
| LAWFIRM NAME BUSINESS NAME | WorldWide HealthStaff Solutions |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | District of Columbia Court of Appeals |
| WORKSITE WORKERS | 10 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1227 E. Rusholme Street |
| LCA CASE WORKLOC1 CITY | Davenport |
| WORKSITE COUNTY | SCOTT |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 52803 |
| LCA CASE WAGE RATE FROM | 21 |
| LCA CASE WAGE RATE TO | 24.52 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 43680 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Rogers |
| PREPARER FIRST NAME | Caela |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | WorldWide HealthStaff Solutions |
| PREPARER EMAIL | crogers@healthstaff.org |
